Inspection on 22/05/06 for Manor Road (96)

This inspection was carried out on 22nd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manor Road (96) 03/11/05

Manor Road (96) 11/05/05

Manor Road (96) 07/09/04

Manor Road (96) 16/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Manor Road (96) 96 Manor Road Wallasey Wirral CH44 1BZ Lead Inspector Beate Roth Key Unannounced Inspection 22nd May 2006 1.00 Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Road (96) Address 96 Manor Road Wallasey Wirral CH44 1BZ 0151 639 0401 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Metropolitan Borough of Wirral Mrs Lynda Nelson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3rd November 2005 Date of last inspection Brief Description of the Service: Manor Road is owned by Wirral Metropolitan Borough Council and is registered to accommodate 4 adults with a learning disability. Manor Road is a two storey, mid-terraced property, situated on a main road. On the ground floor there is a lounge, dining room, kitchen, bathroom and a laundry room. On the first floor there is a bathroom, a separate toilet and four single bedrooms. The home has a garden, which has seating areas. Access to the front and back of the home is via a step. Parking is available on the main road. Manor Road is located within a half-mile of Liscard town centre. There is easy access to a bus service from the home. At the time of the inspection, service users were contributing £63.25 towards the cost of the service. A copy of the statement of purpose would be made available to relatives and social workers prior to admission. The service users guide to the home is made available before a service user comes to live at the home and the content is discussed with them to ensure their understanding. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on a visit to the home, which took place over 5 hours and is informed by a questionnaire completed by the manager prior to this visit and information that has come to the attention of CSCI since the last inspection of the home. During the visit time was spent in the office examining records and policies and procedures. A tour of the home took place. Service users and staff were spoken with. Observations of the support provided to service users by staff were undertaken. What the service does well: What has improved since the last inspection? What they could do better: A record must be made of the review date of risk assessments to provide evidence that the accuracy of the service user plans are regularly assessed. The way in which the contracts/statement of terms and conditions are drawn up could better support service users, as at present relatives/advocates are not involved. An up to date certificate indicating that the emergency lighting has been appropriately serviced needs to be made available to demonstrate Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 6 that the fire the safety systems are working effectively. A programme of planned maintenance and renewal for the fabric and decoration of the premises would ensure that a good standard of decoration is maintained throughout the home at all times. It is recommended that two members of staff be deployed on more evening shifts as having one member of staff may limit the opportunity for service users to undertake unplanned or separate activities. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including visiting the service. There are sound systems in place to ensure that prospective service user’s needs could be met by the home should a vacancy arise. However the way in which the contracts/statement of terms and conditions are drawn up could better support service users. EVIDENCE: No new service users have come to live at the home in the last 10 years. The assessment paperwork that is available and the assessment process described by the manager at previous inspections, would ensure that a full assessment of a service users’ needs would be made. The statement of purpose indicates that new service users would be able to visit the home to meet the current service users and staff before making a decision as to whether the home is suitable for them. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 9 A sample of service user contracts/statement of terms and conditions were seen and provide the information that is needed. Information relating to the changes of fees payable since the contracts were drawn up was available. The contracts/statement of terms and conditions have been made available in a format that is more suited to the needs of the service users. Relatives/advocates have not been involved in the completion of the contracts. As indicated in previous inspections, it would be good practice for an appropriate individual, who is independent of Wirral Borough Council, to be involved in supporting service users when drawing up the contract/statement of terms and conditions. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. Care planning reflects the assessed and changing needs of service users. Service users are consulted with and are well supported to make decisions. Service users’ need for independence is appropriately balanced with any risks to their wellbeing. Care needs to be taken to ensure that a record is made to indicate risk assessments have been reviewed. EVIDENCE: Information in the service user plans is detailed and easy to understand. The service user plans seen all had a recent review. Each aspect of the service users needs, including, the cultural heritage and religious background of the service user are taken into account when care planning. The staff spoken to could clearly describe the needs of the service users and how to meet them. The records, observations and a discussion with service users indicated that they are assisted to make decisions about their lives in accordance with their abilities. Records of service users likes and dislikes and preferences around Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 11 daily living, such as what time they like to get up and the activities they enjoy assists in making sure service users choices are respected. Records show that service users are asked their opinion about the day to day running of the home at weekly house meetings and through questionnaires. In addition the staff spoken to said that they frequently ask the service users for their views. Records show that service users take part in the running of the home as their needs allow. Service users spoken to say that they are regularly asked about what they would like to eat, where they would like to go to on holiday and what activities they would like to do. A sample of risk assessments indicated that service users’ needs are assessed and their need for independence is balanced with any risks to their wellbeing. A record had not been made to indicate that every risk assessment seen had been regularly reviewed. The dates on some risk assessments indicated that they were reviewed over 12 months ago. Staff spoken with said that there had not been any change to the needs of the service users since the risk assessments were last reviewed however this needs to be more formally noted. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. Service users are able to take part in appropriate social and educational activities and have good opportunities for personal development. Links with the local community are good. The daily routines of service users ensure that their preferences are provided for. The food provided offers variety and caters for service users tastes and any special dietary needs. EVIDENCE: Records show and service users said that they attend adult training centres, go to college and take part in a range of leisure activities. The service users said that they enjoy the activities the home provides. Staffs spoken to say that the service users with staff support have chosen the activities. The records show that service users take part in community life. Service users are supported to use local facilities such as shops and public transport. Service users spoken with said that they get enough opportunities to go out in the local area and to have opportunities to make friends with people who do Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 13 not live at the home. Service users, staff and records indicated that family relationships are promoted. Service users have a holiday each year. The service users have decided to visit Scotland this year and talked about their plans whilst there. Service users also enjoy short breaks away form the home and regular day trips. Discussions with staff, records and observations confirmed that the home’s routines are flexible as much as possible. The service users said they like a “lie in.” The records inspected indicated the support service users need in their daily lives in order to make choices and encourage independence. The service users and staff reported that service users are involved in the planning of meals. The service user plans detail likes and dislikes and any dietary requirements. The service users reported that they enjoy the food provided. Meals are planned on a four weekly basis. A menu is maintained. The menus indicated that a variety of different foods are provided. A record of foods provided is also contained in the communication book. It would be good practice for this information to be recorded in each service users individual records. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. The physical and emotional health needs of service users are well met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The care plans examined describe the support service users require around their personal care. Individual preferences regarding personal and health care support are recorded in the service user plan and support is provided around their personal care by staff of the same gender. The key worker system promotes continuity of care for the service users. Observations indicated that staff promote the dignity of service users and those staff interviewed were able to demonstrate a good understanding of the support needs of service users. Records show that service users are supported to attend healthcare appointments and have access to health care services when they are needed. The medication procedure was seen and gives clear guidance to staff. All staff have received training in the home’s medication procedure. In addition all staff have completed a training course in the safe handling of medication. The Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 15 manager makes an assessment of the competence of staff before they are allowed to administer medication. A record is made of this. A sample of medication administration records and corresponding medication were inspected and were correctly maintained. Medication is stored securely. Each of these elements helps to ensure service users are safeguarded from the potential for errors in the administration of medication. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. Staff training and policies and procedures are in place to ensure that service users views are listened to. The practices at the home provide service users with protection from abuse. EVIDENCE: There is a complaint procedure that is suited to the needs of service users with a learning disability. Service users spoken with said that if they were unhappy they would speak to a member of staff or the manager. Staff reported that they regularly elicit the views of service users. Information is available to enable a complaint to be made on behalf of a service user by an advocate. The complaint procedure describes the stages of the complaint and that the complainant will get a formal answer to their complaint within a maximum of 21 days if the complaint cannot be resolved informally. Staff interviewed were aware of the content of the complaint procedure and how to respond to complaints. CSCI has not received any complaints about this service. An adult protection and a whistle blowing procedure are available. The whistle blowing procedure contains the contact details of CSCI. The manager and all staff have had training around the protection of vulnerable adults. The staff interviewed were able to demonstrate a good awareness of how to respond appropriately to an allegation of abuse. The home manages the personal allowance for one service user. The records of this were examined. These records were appropriately maintained with systems in place to keep a check on the accuracy of the records. Since the Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 17 last inspection, further guidance has been provided to staff around how to appropriately support service users to manage their finances and protect service users from financial abuse. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including visiting the service. The home is clean and in general provides a safe and comfortable environment for service users. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 19 EVIDENCE: The home is in general satisfactorily maintained. Since the last inspection the kitchen flooring has been replaced and the walls redecorated. It continues to be recommended that the pipes in the downstairs bathroom be boxed in, as this will improve the appearance of the bathroom. The manager has reported that these pipes do not become hot. Service users bedrooms are personalised. The decoration in one bedroom is showing signs of wear. The decoration in a further bedroom is dark which does not enhance a room that gets a limited amount of natural light. The manager reported at the last inspection that all four bedrooms have been identified for re-decoration. One of the bedrooms has been redecorated, since the last inspection, improving the appearance of this room for the service user. The progress of these decorative works will be assessed at the next inspection. Furniture and fittings are of a satisfactory quality. It continues to be recommended that when bedroom furnishings are replaced they are replaced with furnishings that have a lockable area. Service users are able to lock their bedroom doors in accordance with a risk assessment. It continues to be recommended that a maintenance and renewal programme for the fabric and decoration of the premises be put in place as this would ensure that a good standard of decoration is maintained throughout the home at all times. At this inspection, there was a small, discoloured area on the ceiling in the first floor bathroom. The tiles beneath were also discoloured. A member of staff reported that the tiles had recently been cleaned. The reason for the discolouration should be investigated and action taken to address this. Records of fire alarm and emergency lighting tests and drills were seen and found to be in order. An up to date electrical wiring certificate has been made available since the last inspection. A recent service test certificate for the emergency lighting was not available. Evidence that this has been carried out is to be forwarded to CSCI within one month. A tour of the home showed that the home was clean. It is clear that the staff are working hard to ensure good standards of cleanliness are maintained throughout the home. There are procedures for staff to refer to about hygiene. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. There are sufficient numbers of staff to meet the needs of service users. Staff are competent and well motivated to meet the service users needs. EVIDENCE: The staffing rota shows that there is sufficient staff to meet the needs of the service users. During the day there are between one and two staff available. There is one member of staff available most evenings. The staff reported that extra staff are made available for planned activities. Having one member of staff may limit the opportunity for service users to undertake unplanned activities or separate activities. The service users reported that they go out as much as they would like to in the evenings. Staff supported this. The manager reported at the last inspection, that when additional staff are employed there will be two staff available most evenings. It is understood that Wirral Metropolitan Borough Council is in the process of appointing 2 support staff to the home. Relief staff and the current staff team cover staff vacancies and absences. The same relief staff are employed who know the service users and how the home works. Records and a discussion with staff showed a team meeting had been held recently. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 21 No new staff have been employed since the last inspection. There are satisfactory recruitment procedures and policies available to ensure that service users would be supported and protected by the home’s recruitment processes. Training records indicated and staff spoken with said that training is provided to ensure service users are being cared for properly and that their needs are being met in accordance with current good practice. 50 of staff hold an NVQ in care of adults with a learning disability. The remaining members of staff are currently undertaking the course. The induction and foundation training programmes have been developed in accordance with the National Training Organisation training targets. Training around equal opportunities is provided to staff and they have also attended training concerning promoting service users rights. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including visiting the service. Service users benefit from the management arrangements and sound quality assurance systems in place at the home. EVIDENCE: The manager has recently completed an NVQ level 4 in care and management. The manager has been in post for 6 years. Prior to this the manager worked as a deputy manager for 6 years in a similar setting. Records indicated that the manager has undertaken periodic training to maintain and update her knowledge, skills and competence while managing the home. There are a range of quality assurance systems in place. An annual development plan is produced each year. Feedback is sought from service users at service user meetings and through individual discussion with their key workers. The service users were encouraged to meet with the inspector at this visit. A client consultation questionnaire is in use at the home. A consultation Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 23 questionnaire for relatives is also in use. Staff meetings are held on a regular basis. Staff supervision is also regularly provided. The representative of the registered provider makes visits to the home on a monthly basis in accordance with Regulation 26 of the Care Homes Regulations 2001. Copies of these reports are forwarded to CSCI. There is evidence that a review takes place of policies and procedures and that these are updated accordingly. Both staff and training records indicated that staff receive appropriate training in safe working practices to be able to meet the needs of the service users. Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 15 Requirement The registered person must ensure that a record is made to indicate risk assessments have been reviewed. The registered person must provide evidence to CSCI that the emergency lighting system is regularly serviced. Timescale for action 22/06/06 2. YA24 23 22/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA5 YA24 Good Practice Recommendations A representative of the service users should be involved in the completion of service user agreements. A planned maintenance and renewal programme for the fabric and decoration of the premises should be in place in order to ensure that a satisfactory standard is maintained in these areas. It is recommended that the pipes in the bathroom DS0000035511.V288544.R01.S.doc Version 5.1 Page 26 3. YA24 Manor Road (96) downstairs be boxed in as this will improve the appearance of the bathroom. 4. YA24 The reason for the discolouration to the ceiling and tiles in the first floor bathroom should be investigated and action taken to address this. It is recommended that when bedroom furnishings are replaced an item of furniture with a lockable area be provided for each service user. It is recommended that two members of staff be deployed on more evening shifts as having one member of staff may limit the opportunity for service users to undertake unplanned or separate activities. 5. YA25 6. YA32 Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Manor Road (96) DS0000035511.V288544.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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